CASE ON ACUTE RHEUMATOID

ARTHRITIS
Name-Aashna Ali
Roll no: 1414803
Class: Pharm D 3rd Year

Submitted to:
Dr. Parminder Nain
M.M. COLLEGE OF PHARMACY
M.M. UNIVERSITY, MULLANA, AMBALA-133207, HARYANA
(Approved by PCI, AICTE, DTE and Recognized as SIRO by DST, Govt. of India, New Delhi)
 RHEUMATOID ARTHRITIS
Rheumatoid arthritis (RA) is a long-term
autoimmune disorder that primarily affects joints. It
typically results in warm, swollen, and painful joints.
Pain and stiffness often worsen following rest. Most
commonly, the wrist and hands are involved, with the
same joints typically involved on both sides of the body.
The disease may also affect other parts of the body.
 SYMPTOMS...

SIGN/SYMPTOMS SEVERITY DURATION

Fever mild 1-2 days

Morning Stifness moderate 2 months
Fatigue mild 7 days
Joint pain mild 6 months
Joint Swelling moderate 1 month
PAST MEDICAL HISTORY
H/O- calcium supplement.
PERSONAL MEDICAL HISTORY
 Mixed diet.
 Non alcoholic.

 No h/o jaundice,DM,TB, Seizures.

VITALS
EXAMIN DAY 1 DAY 2 DAY 3 DAY 4 DAY 5 DAY
ATION
6
PULSE 104 90 65 76 74 72
[per mint.]
TEMP. 101.2 100 99.1 98.6 98.5 98.6

BP 150/100 150/100 140/90 110/70 110/60 120/60

[mm Hg]
RESP. 18 20 18 18 18 18
RATE
[per mint]
 LAB TEST
URINE ANALYSIS
parameter Range
Volume 30 ml
Colour pale yellow
Urine albumin nil
Urine fasting sugar nil
RBCs nil
PUS Cells 0-1
Epithelial cells 4-6
Casts nil
 LAB TEST

PARAMETER NORMAL RANGE RESULT

HB 12-16 gm/dl *8.4

TLC 4.00-10.00 *11.7

x1000/cumm
ESR 0.00-20.00 mm at *60
1hr
CRP neg positive

RA factor 0-8 IU/mL positive

 TREATMENT

MEDICIN SALT CATEG DOSE ROUTE FREQUE

E ORY NCY

Tab . telmisarta Antihyper 40mg Oral OD

TELPLUS n tension

Tab. DOLO acetamino Antipyreti 20mg oral OD

phen c

Tab.TERBIN terbinafine Antifunga 250mg Oral OD

AFINE l

Tab. Folvite Folic acid Anti- 5mg Oral OD

anemic
MEDICIN SALT CATEG DOSE ROUTE FREQUE
E ORY NCY
Oint. clotrimazo Antifunga Topical BD
CANDID le l
FORTAL
Tab. HCQS hydroxychl DMARD 200 mg Oral BD
oroquine
Tab. etoricoxib NSAIDS 90 mg Oral BD Once a
ETORICA-P week
Tab. MTX methotrex NSAIDS 7.5 mg Oral OD
ate
Cap. A-Z VIitamin MVI Oral OD
Lotion Choline Anti- Topical BD
 DIAGNOSIS
 Final diagnosis- on the basis of subjective and
objective evidence the diagnosis was RHEUMATOID
ARTHERITIS with HTN.
FINDINGS
•The patient was diagnosed to have RHEUMATOID
ARTHERITIS with HTN on the basis of lab
parameters and physical examination.
•The patient was also diagnosed with symptoms
and presence of fungal infection(tinea corporis) on
the left toe.
•Patient was investigated and relieved on
discharge.
•So, the case was rational.